Understanding Bowel Cancer Screening

A Comprehensive Guide to Colorectal Cancer Prevention and Early Detection

Gastroenterology

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Last updated: Mar 24, 2025

What is Bowel Cancer Screening?

Bowel cancer screening is a preventive health measure designed to detect early signs of colorectal cancer before symptoms appear. Regular screening can help identify precancerous polyps or early-stage cancer when treatment is most effective.

Who Should Get Screened?

  • Adults aged 45-75 years (standard recommendation)
  • Individuals with family history may need earlier screening
  • People with specific risk factors may require more frequent screening

Common Screening Methods

1. Fecal Immunochemical Test (FIT)

  • Annual test
  • Detects hidden blood in stool
  • Non-invasive, can be done at home
  • Requires follow-up colonoscopy if positive

2. Colonoscopy

  • Recommended every 10 years
  • Direct visualization of entire colon
  • Can remove polyps during procedure
  • Requires bowel preparation

3. Other Options

  • Flexible sigmoidoscopy (every 5 years)
  • CT colonography (every 5 years)
  • Stool DNA testing (every 3 years)

What to Expect

Before Screening

  • Discuss options with healthcare provider
  • Choose appropriate screening method
  • Follow preparation instructions carefully

During Screening

  • FIT: Simple stool sample collection
  • Colonoscopy: 30-60 minute procedure under sedation

After Screening

  • Review results with healthcare provider
  • Schedule follow-up appointments if needed
  • Plan next screening based on results

Warning Signs to Report

  • Blood in stool
  • Unexplained weight loss
  • Persistent change in bowel habits
  • Abdominal pain

Benefits of Regular Screening

  • Early detection of cancer
  • Prevention through polyp removal
  • Higher cure rates
  • Peace of mind

Risk Factors

  • Family history of colorectal cancer
  • Personal history of inflammatory bowel disease
  • Certain inherited syndromes
  • Lifestyle factors (diet, smoking, obesity)

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